급성기 뇌졸중 적정성 평가 결과의 분석
Analyzing the Quality Assessment Program for Acute Stroke of the Health Insurance Review and Assessment Service
2
조회
0
다운로드
2
인용
0
참고문헌
초록
Objectives: The Health Insurance Review and Assessment Service (HIRA) has been implement- ing quality assessment program to improve the quality of care for acute stroke patients. The purpose of this study was to evaluating the performance of the program. Methods: We compared the assess- ment results of the year 2008 or 2009 with those of the year 2014. Also we analyzed the assessment results by hospital size and number of case for hospital using 2014 dataset. The total number of indi- cators used in this analysis is thirteen including two structure indicators and eleven process indica- tors. Results: The performance of the quality assessment program was generally improved from the year 2008/2009 to 2014. We found that small and medium sized hospital showed relatively low level of quality. There were substantial variations in the level of achievement among indicators. Con- clusion: To improve the overall quality of stroke care, we have to pay more attentions to small and medium sized hospitals. HIRA need to expand the quality assessment program for acute stroke pa- tients in order to cover small and medium sized hospitals. Furthermore, it is necessary to develop quality improvement program to support low performance hospitals.
Abstract
Objectives: The Health Insurance Review and Assessment Service (HIRA) has been implement- ing quality assessment program to improve the quality of care for acute stroke patients. The purpose of this study was to evaluating the performance of the program. Methods: We compared the assess- ment results of the year 2008 or 2009 with those of the year 2014. Also we analyzed the assessment results by hospital size and number of case for hospital using 2014 dataset. The total number of indi- cators used in this analysis is thirteen including two structure indicators and eleven process indica- tors. Results: The performance of the quality assessment program was generally improved from the year 2008/2009 to 2014. We found that small and medium sized hospital showed relatively low level of quality. There were substantial variations in the level of achievement among indicators. Con- clusion: To improve the overall quality of stroke care, we have to pay more attentions to small and medium sized hospitals. HIRA need to expand the quality assessment program for acute stroke pa- tients in order to cover small and medium sized hospitals. Furthermore, it is necessary to develop quality improvement program to support low performance hospitals.
참고문헌 (14)
- Benjamin EJ, "Heart Disease and Stroke Statistics-2017 Update: a report from the American Heart Association", Circulation, 135, pp.e146~e603 (2017)
- "Statistics for cause of death 2015"[URL]
- "Health Plan 2020, 2016~2020"[URL]
- 2014 Acute stroke assessment report, "Health Insurance Review and Assessment Service", Health Insurance Review and Assessment Service, ~ (2014)
- "Plan of 2017 quality assessments"[URL]
- A study on the improvement of acute stroke assessment, "Lee SI", Health Insurance Review and Assessment Service, ~ (2015)
- Mainz J, "Defining and classifying clinical indicators for quality improvement", Int J Qual Health Care, 15, pp.523~530 (2003)
- Stroke Unit Trialists’ Collaboration, "Organised inpatient (stroke unit) care for stroke", Cochrane Database Syst Rev, (4), pp.CD000197~ (2007)
- Xian Y, "Association between stroke center hospitalization for acute ischemic stroke and mortality", JAMA, 305, pp.373~380 (2011)
- A survey report on the current state of hospitals for acute stroke and the acute stroke assessment of Health Insurance Review and Assessment Service, "Korea Stroke Society", Korea Stroke Society, ~ (2015)
- Kilo CM, "A framework for collaborative improvement: lessons from the Institute for Healthcare Improvement’s Breakthrough Series", Qual Manag Health Care, 6, pp.1~13 (1998)
- Power M, "Did a quality improvement collaborative make stroke care better? A cluster randomized trial", Implement Sci, 9, pp.40~ (2014)
- "2015 comprehensive report on quality assessments"[URL]
- "Quality Indicator Measure Development, Implementation, Maintenance, and Retirement Summary (Prepared by Battelle, under Contract No. 290-04-0020)" (2011)[URL]